<%--
  Created by IntelliJ IDEA.
  User: TM
  Date: 11/8/12
  Time: 11:58 PM
  To change this template use File | Settings | File Templates.
--%>
<%@ page contentType="text/html;charset=UTF-8" language="java" %>
<%@ taglib prefix="s" uri="/struts-tags" %>



<%--<div id="top">
    <div id="bg_wrapper">

        <div id="main">--%>

            <%--<div id="content_block">--%>
 <div class="jquery_tab">

                <div class="content_block">
                <form action="updateUserInfo.action">


                    <h2 class="jquery_tab_title">Personal Details</h2>


                        <p>
                            <label for="nic">NIC</label>
                            <input class="input-big" type="text" value="<s:property value="nic" />" name="nic"
                                   id="nic"/>
                        </p>

                        <p>

                            <label for="title">This is a dropdown list</label>
                            <select name="title" id="title">
                                <option value="Mr.">Mr.</option>
                                <option value="Mrs.">Mrs.</option>
                                <option value="Miss.">Miss.</option>
                                <option value="Prof.">Prof.</option>
                                <option value="Rev.">Rev.</option>
                            </select>
                        </p>

                        <p>
                            <label for="fname">First Name</label>
                            <input class="input-big" type="text" value="<s:property value="fname" />" name="fname"
                                   id="fname"/>
                        </p>

                        <p>
                            <label for="lname">Last Name</label>
                            <input class="input-big" type="text" value="<s:property value="lname" />" name="lname"
                                   id="lname"/>
                        </p>

                        <p>
                            <label for="address">Address</label>
                            <input class="input-big" type="text" value="<s:property value="address" />" name="address"
                                   id="address"/>
                        </p>

                        <p>
                            <label for="dob">DOB</label>
                            <input class="input-small flexy_datepicker_input" type="text"
                                   value="<s:property value="dob" />" name="dob" id="dob"/>
                        </p>

                        <p>
                            <label for="contactNo">Contact No</label>
                            <input class="input-big" type="text" value="<s:property value="contactNo" />"
                                   name="contactNo" id="contactNo"/>
                        </p>

                        <p>
                            <label for="password">Password</label>
                            <input class="input-big" type="password" value="<s:property value="password" />"
                                   name="password" id="password"/>
                        </p>

                        <p>
                            <label for="pinNo">Pin No</label>
                            <input class="input-big" type="text" value="<s:property value="pinNo" />" name="pinNo"
                                   id="pinNo"/>
                        </p>

                        <p>
                            <label for="email">email</label>
                            <input class="input-big" type="text" value="<s:property value="email" />" name="email"
                                   id="email"/>
                        </p>


                        <p>
                            <input class="button" name="submit" type="submit" value="Submit"/>
                        </p>
                    </form>


                    <%--<table align="center" width="75%" border="0">

                        <tr>
                            <td>Drug Name</td>
                            <td>&nbsp;</td>
                            <td>&nbsp;
                                <input name="drugtName" type="text"></td>
                        </tr>
                        <tr>
                            <td>Description</td>
                            <td>&nbsp;</td>
                            <td>&nbsp;<input name="description" type="text"></td>
                        </tr>

                        <tr>
                            <td>&nbsp;</td>
                            <td>&nbsp;</td>
                            <td>&nbsp;<input type="submit" name="email"/></td>
                        </tr>
                    </table>--%>
                <%--</form>
            </div>
      &lt;%&ndash;  </div>&ndash;%&gt; --%>
    </div>
</div>